Provider Demographics
NPI:1740619667
Name:EXPRESS URGENT CARE, PLLC
Entity Type:Organization
Organization Name:EXPRESS URGENT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANUEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABREHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-873-8100
Mailing Address - Street 1:17030 NANES DR STE 109
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2500
Mailing Address - Country:US
Mailing Address - Phone:281-873-8100
Mailing Address - Fax:281-873-8101
Practice Address - Street 1:17030 NANES DR STE 109
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2500
Practice Address - Country:US
Practice Address - Phone:281-873-8100
Practice Address - Fax:281-873-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty